Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Patel, Dhruvi

Patel, Dhruvi was paid $76K by Medicaid between Jan 2020 and May 2023, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 65% of everything it billed.

33Billing provider infoPATEL, DHRUVI
HAGERSTOWN, MD 21740
33aNPI1932412780assigned 07/22/2010
33bProvider typeOptometrist
28Total paid$76K
24GClaims2,466
24DCodes billed5
24AFirst – last monthJan 2020 – May 2023
Compared with peers

Next to other Optometrist providers in Maryland

Rank by total paid#110 of 345
Median peer was paid$27K
This provider vs. median2.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2020691$19K
2021809$26K
2022914$29K
202352$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 65% 1,258 1,233 $49K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 21% 416 408 $16K
92015 Determination of refractive state 9.8% 648 629 $7K
S0620 Routine ophthalmological examination including refraction; new patient 3.4% 132 121 $3K
S0621 Routine ophthalmological examination including refraction; established patient <1% 12 12 $330.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.